2017 OSSC Shop Registration

This form must be completed by each surf shop team manager. Please be sure to have all riders fill out the form below this one. Completed forms must be received by your regional due date.

SHOP INFORMATION

Name of Shop *This question is required. Shop name will appear this way for the entire 2017 series

Shop Address *This question is required.

Apt/Suite/Office

City *This question is required.

State *This question is required.

Zip *This question is required.

Team Manager/Contact Name *This question is required.

Contact Email *This question is required. This question requires a valid email address.

Contact Cell Phone *This question is required.

1. Which riders will be representing your shop?Employee Alternates: Must be noted on original entry form with proper employment verification (pay stubs). In the event that a team member is injured or does not show up for their heat, the designated alternate(s) is the only surfer allowed to compete. You may list them in the Employee Alternates field.

Space Cell	Name
Team Rider #1 *This question is required	Team Rider #1: Name
Team Rider #2 *This question is required	Team Rider #2: Name
Employee #1 *This question is required	Employee #1: Name
Employee #2 *This question is required	Employee #2: Name
Employee Alternates	Employee Alternates: Name

2. Signature of Team Manager *This question is required.By signing this form, you are agreeing to the Terms and Conditions for participation.

Clear

Signature of (Name)

2017 OSSC Shop Registration

Shop Info